6 month pcp dietary evaluation and weight gain...

It's different in everyone's situation. Most insurance companies want to see that you just can't lose weight on your own so for them it's financially better to approve it and I think some make you jump through so many hoops you'll finally get tired of it and give it up.

For a Dr they want to see that your able to follow a program to be able to handle the nee lifestyle and not fail as it is very much a lifelong thing. 

I can imagine it is very defeating to try to hard do all the right things and see no positive results. Have your Nut look over what your doing and make suggestions. Sometimes little things can trigger results in the right direction.

Stay strong and positive. Good Luck!   Rich   

Hi.  I actually had the same thing happen to me.  I was supposed to lose a total of 7 pounds to qualify and I lost 6, then I gained back 4 around the 4th month.  So then for the next 2 months, I had to concentrate hard on sticking to losing, which I did.  I got the protein shakes and drank for 1 meal, sometimes 2 meals.  I watched my intake - ate small portions - and concentrated on protein first, no breads, rice, etc.  So in the last 2 months, I had lost the required weight and have kept if off.  With 2-1/2 weeks to go to surgery, I am still working on losing more.  Have not gained any back - so fingers crossed! You can do it!

It really does depend on your insurance and your surgeon. 

My insurance company didn't care if I gained or lost during the six months. As long as I saw my doctor for six months, that was all they wanted. 

My surgeon's office stressed that they didn't want anyone to gain weight during this time period. They either wanted us to lose or maintain. I was up three pounds, and it wasn't an issue. If I had gained twenty pounds, I'm sure they would've said something. Some surgeons are stricter than others. 

One thing I also want to note is make sure you are only discussing your diet and weight at each PCP visit. I have read stories of insurance companies denying people because those people discussed other health-related issues at the appointments. I had an ear infection at one visit, but luckily my PCP didn't include that in his billing because that month would not have counted, and I would've had to start over.

I would do what others have suggested - call your insurance company and find out what its requirements are. Every policy is so different, so its best to call and ask about your specific policy.

I guess I'm thankful. I have to do op 12 lbs before surgery. I was trying to have mine before 2106 ended. My insurance requires 6 months with dietician. However sometimes if all is good and doing well they will try and meet and talk and see if they can get insurance to approve a little sooner.